Ticket for Outdoor Patient
| Ward No. 22 | U-PHC No. | Registration No. 13805 | Date 01/12/2025 |
| Token No | SM/25-26/2830 01/12/2025 | Serial | 014 |
| Patient Name | Master PIYUSH DAS | Contact No | 8585876417 |
| Address | BAISHNAB PARA | Age | 4 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||